MR. ALEXANDER GAVRONSKY M.S, R.D.
NPI 1659811271
Dietitian, Registered in Staten Island, NY

Q: What is Alexander Gavronsky's NPI number?

The NPI number for Alexander Gavronsky is 1659811271. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Alexander Gavronsky's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since March 01, 2017

475 SEAVIEW AVE, STATEN ISLAND UNIVERSITY HOSPITAL, STATEN ISLAND, NY 10305(718) 226-5413 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Alexander Gavronsky M.s, R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALEXANDER GAVRONSKY M.S, R.D. (NPI 1659811271) is an individual dietitian, registered in Staten Island, New York, licensed in New York (86053650) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1659811271

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMR. ALEXANDER GAVRONSKYCredential: M.S, R.D.

Location Address475 SEAVIEW AVE, STATEN ISLAND UNIVERSITY HOSPITALStaten Island, NY 10305-3436

Mailing Address545 Neptune Ave Apt 11gBrooklyn, NY 11224-4050 · (646) 338-7126

Phone(718) 226-5413

Sole ProprietorNo

Enumeration DateMarch 1, 2017

✔ NPI 1659811271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 86053650

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

475 SEAVIEW AVE, Staten Island, NY 10305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alexander Gavronsky M.s, R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexander Gavronsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boro Park Nutrition, LLC

6.3 mi

Nutritionist

1662 47TH ST
Brooklyn, NY 11204

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1821511262 (347) 746-0453

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)